CN105708514A - Device for uterus hemostasis - Google Patents
Device for uterus hemostasis Download PDFInfo
- Publication number
- CN105708514A CN105708514A CN201610234945.9A CN201610234945A CN105708514A CN 105708514 A CN105708514 A CN 105708514A CN 201610234945 A CN201610234945 A CN 201610234945A CN 105708514 A CN105708514 A CN 105708514A
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- Prior art keywords
- screw rod
- uterine
- sacculus
- hemostasis
- catheter body
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00539—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated hydraulically
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/14—Female reproductive, genital organs
- A61M2210/1433—Uterus
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Reproductive Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Pregnancy & Childbirth (AREA)
- Gynecology & Obstetrics (AREA)
- Child & Adolescent Psychology (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention provides a device for uterus hemostasis. The device is provided with a catheter body; an air-in pipe is arranged on one side of the catheter body; an air-out hole is formed at the other end of the air-in pipe; a thickened saccule is arranged at the front end of the catheter body; the outer side of the catheter body is sleeved with a screw rod with a circular stop block; a fixing chock block is mounted near the air-in pipe and sleeved with a thread sleeve with a handle; the thread in the thread sleeve is corresponding to the thread on the screw rod; and a first through hole and a second through hole are formed at the front end of the catheter body. The device provided by the invention is mainly applied to the cases of induced-abortion bleeding in early pregnancy at the uterine scar, and the problem that the lower end of the existing catheter is hard to fix can be solved; meanwhile, the catheter can be adjusted and fixed according to the cervical length of the patient so that the saccule in the uterine cavity clings to the wall of uterine cavity and the uterine dead space is reduced; and moreover, the screw rod is adjusted or liquid is pumped to reduce pressure according to the bleeding quantity, and the compression hemostasis effect is remarkable without influencing normal activities of the patient.
Description
Technical field
The present invention relates to medical equipment, be a kind of device for uterine hemostasis.
Background technology
In medicinal, Uterine Scar place early pregnancy abortion is gynecological's operation the most common, most widely used, uterine cavity is hemorrhage is also frequently problem in this kind of operation, adopting cavity of uterus to place double lumen catheter as drainage tube, balloon compression hemostasis is the method commonly used clinically.According to uterine cavity size and Compressive Hemostasis by sacculus water filling 20～40ml hemostasis by compression, another termination drainage bag of sacculus observes blood volume.The published patent No. 201320019215, title uterine hemostasis sacculus structure be: by being placed in liquid sacculus in double channel catheter one end, sacculus is inserted in cavity of uterus injection saline, makes sacculus expand and be affixed on uterus inwall and play hemostasis by compression effect；But there is the problem that the fixing difficulty in double channel catheter outer end in Clinical practice process, sacculus places in uterine cavity expansion after fluid injection again, it is necessary to an outside pulling force tractive catheter keeps some tension.Through the catheter tip after drop-down being fixed on inside patient thigh frequently with wide adhesive plaster or binding normal saline bottle produces pulling force in clinic, sacculus is made to be close to uterus hemostasis by compression, there is the problem that the impact easily by patient activity or position, do not reach the certain pulling force of maintenance to make sacculus be positioned at bleeding part to realize the effect of uterus hemostasis by compression, both the position having limited patient is movable, affects again the effect of hemostasis by compression.
Summary of the invention
It is an object of the invention to provide a kind of device for uterine hemostasis; it is used primarily in the case that Uterine Scar place early pregnancy artificial abortion is hemorrhage; can solve the problem that the fixing difficult problem in existing catheter lower end; can be adjusted fixing according to patient's cervical length simultaneously; make intrauterine sacculus be close to uterine cavity wall, reduce uterus dead space, and how much adjust screw rod or drawing liquid decompression according to amount of bleeding; Compressive Hemostasis is notable, does not affect patient's normal activity.
It is an object of the invention to be achieved through the following technical solutions: the device for uterine hemostasis of the present invention, it has urethral catheterization body, urethral catheterization body side is provided with air inlet pipe, the air inlet pipe other end has venthole, urethral catheterization body front end is shaped with thickening sacculus, it is set with the screw rod with annular sprue in the external side of catheter, fixed stop is installed near air inlet pipe place, fixed stop is cased with the swivel nut with handle, screw thread in described swivel nut is corresponding with the screw thread on screw rod, and urethral catheterization body front end is provided with the first through hole and the second through hole.Fixed stop is ring-type fluted shape.Annular sprue is that duroplasts is made.Annular sprue is connected for fixing with screw rod.The diameter thickening sacculus is 3-6 centimetre.
The present invention has the beneficial effects that: in clinic, the catheter sacculus of uterine hemostasis will be transformed; solve the fixing difficult problem in catheter lower end; sacculus fixed position can be adjusted according to patient's cervical length by screw rod simultaneously; sacculus in uterine cavity is made to be close to uterine cavity wall; reduce uterus dead space; Compressive Hemostasis is notable, does not affect patient's normal activity.And screw rod pulling force or drawing liquid decompression is adjusted according to amount of bleeding, when 24～48 is little, vagina can extract hemostasis device of the present invention without hemorrhage, is truly realized the result of use that can be suitable for all ages and classes patient, can wide popularization and application.
Typical case falls ill: the case that Uterine Scar place early pregnancy artificial abortion is hemorrhage, and the application of the invention in utero sacculus hemostasis device hemostasis by compression achieves good curative effect, and model case is as follows:
Example 1, patient 36 years old, pregnant 2 produce 1, cesarean postoperate 2 years.Menolipsis 48 days, vagina is examined over hemorrhage 3 days on a small quantity.B ultrasonic: the low echo area of nearly hypomere antetheca spy and 1.2cm × 1.0cm in cavity of uterus, is inside shown in yolk sac.Blood HCG 11630.00U/L.Patient requests's termination of pregnancy, gives artificial abortion in outpatient service, and operation smoothly, is shown in fine hair and decidua tissue, but postoperative hemorrhage is many, gives intramuscular injection Leonurus Heterophyllus injection and slightly reduces and go home.Patient the 2nd day is hemorrhage still more to be checked, and B ultrasonic: see the irregular agglomerate echo of uterine cavity antetheca diagnoses as cicatrix place, uterus gestation, namely income institute gives cavity of uterus and places the present invention in utero sacculus hemostasis device, in sacculus water filling 40ml hemostasis by compression, check liver function is normal, gives methotrexate 20mg intramuscular injection qd, totally 5 times, mifepristone 50mg, every 12h1 time, serve on 5d, after the present invention in utero sacculus hemostasis device indwelling 2d, vagina is fully recovered after hemorrhage, extracts hemostasis device of the present invention.
Example 2, patient 30 years old, pregnant 3 produce 1, cesarean postoperate 9 years.Because of menolipsis 48 days, within 3 days, having no tissue substance in little outpatient service and discharge but hemorrhage examine more after clothes miscarriage medicine, transvaginal ultrasound shows: have no pregnant capsule in uterine cavity, and anterior uterine wall hypomere has the low echo enclosed mass of about 3 0cm × 3 2cm, blood HCG 7865U/L.Diagnosis is cicatrix place, uterus gestation, and outpatient service is hemorrhage more when giving row uterine curettage with " imperfection drug induced abortion ", at once to take in ward after sponge holding forceps clamp cervix uteri.First adopt Metotrexate Combined with Mifepristone Drug therapy: MTX20mg intramuscular injection qd, totally 5 times, and oral mifepristone 50mg, every 12h1 time, it serve on 5d, give antibacterials prevention simultaneously and infect.Monitoring β-HCG gives the clearing heat in the pericardium after dropping to 1000U/L, art is all bled profusely, the clearing heat in the pericardium is complete places the present invention in utero sacculus hemostasis device all immediately in uterine cavity, according to uterine cavity size and Compressive Hemostasis in sacculus water filling 20～40ml hemostasis by compression, observing without obvious hemorrhage rear fixing screw rod, the present invention in utero sacculus hemostasis device end connects drainage bag and observes blood volume.And adjust screw rod according to haemostatic effect 4～10h.And often haemostatic effect is observed in 12h each drawing liquid 10ml decompression gradually, 24～48h vagina is fully recovered after hemorrhage, extracts hemostasis device of the present invention.
Example 3, patient 26 years old, pregnant 2 produce 1, cesarean postoperate 3.Because of menolipsis 42 days, vagina was examined over dripping hemorrhage 3 days.Gynecologial examination: intravaginal is courageous and upright secretions on a small quantity, and cervix uteri is smooth, normal in size, anteversion of uterus, and pregnant 40 days sizes, lower uterine segment expands, and matter is soft, and without tenderness, double accessory is normal.Vagina supersonic inspection shows palace body 4.3cm × 4.0cm × 3.8cm, cervix uteri nearly internal orifice uterus visible 1.2cmx1.4cm heterogeneous echopattern agglomerate to the front, makes a definite diagnosis uterine incision cicatrix place early pregnancy and admits to hospital.First adopt Metotrexate Combined with Mifepristone Drug therapy: MTX20mg intramuscular injection qd, totally 5 times, and oral mifepristone 50mg, every 12h1 time, it serve on 5d, give antibacterials prevention simultaneously and infect.Monitoring β-HCG gives the clearing heat in the pericardium after dropping to 1000U/L, art is all bled profusely, the clearing heat in the pericardium is complete places the present invention in utero sacculus hemostasis device all immediately in uterine cavity, according to uterine cavity size and Compressive Hemostasis in sacculus water filling 20～40ml hemostasis by compression, observing without obvious hemorrhage rear fixing screw rod, the present invention in utero sacculus hemostasis device end connects drainage bag and observes blood volume.And adjust screw rod according to haemostatic effect 4～10h.And often haemostatic effect is observed in 12h each drawing liquid 10ml decompression gradually, 24～48h vagina is fully recovered after hemorrhage, extracts hemostasis device of the present invention.
Example 4, patient, female, 23, pregnant 1 produces 1, cesarean postoperate 1 year half, and because of menolipsis 45 days, vagina was bled on a small quantity 1 day and gone to a doctor.Uterus normal in size is shown in ultrasound diagnosis, the visible 0.9cmx1 2cm in lower uterine segment antetheca incisional scar place × 1.3cm heterogeneous echopattern district.Make a definite diagnosis uterine incision cicatrix position gestation to admit to hospital.First adopt Metotrexate Combined with Mifepristone Drug therapy: MTX20mg intramuscular injection qd, totally 5 times, and oral mifepristone 50mg, every 12h1 time, it serve on 5d, give antibacterials prevention simultaneously and infect.Monitoring β-HCG gives the clearing heat in the pericardium after dropping to 1000U/L, art is all bled profusely, the clearing heat in the pericardium is complete places the present invention in utero sacculus hemostasis device all immediately in uterine cavity, and according to uterine cavity size and Compressive Hemostasis in sacculus water filling 20～40ml hemostasis by compression, observing without obvious hemorrhage rear fixing screw rod, the present invention in utero sacculus hemostasis device end connects drainage bag and observes blood volume.And adjust screw rod according to haemostatic effect 4～10h.And often haemostatic effect is observed in 12h each drawing liquid 10ml decompression gradually, 24～48h vagina is fully recovered after hemorrhage, extracts hemostasis device of the present invention.
The patient of above model case all apply in utero sacculus local pressing type hemostasia and control hemorrhage, saved uterus from damage and made patient from the hardship operated on.Postoperative without infecting, without palace wall and cervix uteri pressurized ischemic necrosis, menstruation recovery, thus prove that sacculus indwelling time and pressure are in safety range, do not lead to complications, can in basic unit clinical, special or without Emergent intervention condition name popularization and application.
Accompanying drawing explanation
Fig. 1 is the structural representation of the present invention.Fig. 2 is the structural representation of screw rod 5 in Fig. 1.Fig. 3 is the right TV structure schematic diagram of Fig. 2.
Detailed description of the invention
The device for uterine hemostasis of the present invention, it has urethral catheterization body 1, urethral catheterization body 1 side is provided with air inlet pipe 12, air inlet pipe 12 other end has venthole 10, urethral catheterization body 1 front end to be shaped with thickening sacculus 7, the suit screw rod 5 with annular sprue 6 outside urethral catheterization body 1, fixed stop 2 is installed near air inlet pipe 12 place, being cased with the swivel nut 4 with handle 3 on fixed stop 2, the screw thread 11 in described swivel nut 4 is corresponding with the screw thread on screw rod 5, and urethral catheterization body 1 front end is provided with the first through hole 8 and the second through hole 9.Described fixed stop 2 is ring-type fluted shape, and annular sprue 6 is made for duroplasts.Make swivel nut 4 can in slot type fixed stop 2 rotary moveable.Described annular sprue 6 is connected for fixing with screw rod 5.The stability of this structural strengthening annular sprue 6 and screw rod 5.The diameter of described thickening sacculus 7 is 3-6 centimetre, and it is capable of the purpose of the high pressure of sacculus 7, high appearance and high-tension.
When the present invention installs, fixed stop 2 is fixed on urethral catheterization body 1 upper surface, and annular hand grip 3 is stuck in the cannelure of fixed stop 2, screw thread in swivel nut 4 11 and the threaded engagement on screw rod 5, makes gas enter in sacculus 7 by air inlet pipe 12.During use, gas is made to enter sacculus 7 by air inlet pipe 12, and inject quantitative liquid on request, make to be close on hemorrhage uterine cavity wall with the sacculus 7 of expansion of liquids, then turning handle 3 promotes screw rod 5 to move ahead, making the annular sprue 6 on screw rod 5 be adjacent to vaginal orifice outer wall, the effect playing fixing sacculus 7 realizes hemostasis purpose.Described urethral catheterization body 1 front end is provided with the first through hole 8 and the second through hole 9 for drawing palace intracavity blood, and described urethral catheterization body 1 is known technology.The non-detailed description of the present invention is known technology.
Claims (5)
1. for the device of uterine hemostasis, it has urethral catheterization body (1), urethral catheterization body (1) side is provided with air inlet pipe (12), air inlet pipe (12) other end has venthole (10), it is characterized in that: urethral catheterization body (1) front end is shaped with thickening sacculus (7), it is set with the screw rod (5) with annular sprue (6) in urethral catheterization body (1) outside, fixed stop (2) is installed near air inlet pipe (12) place, fixed stop (2) is cased with the swivel nut (4) with handle (3), screw thread (11) in described swivel nut (4) is corresponding with the screw thread on screw rod (5), urethral catheterization body (1) front end is provided with the first through hole (8) and the second through hole (9).
2. the device for uterine hemostasis according to claim 1, it is characterised in that: fixed stop (2) is ring-type fluted shape.
3. the device for uterine hemostasis according to claim 1, it is characterised in that: annular sprue (6) is made for duroplasts.
4. the device for uterine hemostasis according to claim 1, it is characterised in that: annular sprue (6) is connected for fixing with screw rod (5).
5. the device for uterine hemostasis according to claim 1, it is characterised in that: the diameter thickening sacculus (7) is 3-6 centimetre.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610234945.9A CN105708514A (en) | 2016-04-14 | 2016-04-14 | Device for uterus hemostasis |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610234945.9A CN105708514A (en) | 2016-04-14 | 2016-04-14 | Device for uterus hemostasis |
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| CN105708514A true CN105708514A (en) | 2016-06-29 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201610234945.9A Pending CN105708514A (en) | 2016-04-14 | 2016-04-14 | Device for uterus hemostasis |
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106821472A (en) * | 2017-03-08 | 2017-06-13 | 邓杜娟 | A kind of postpartum hemorrhage uterus hemostat |
| CN108714040A (en) * | 2018-05-24 | 2018-10-30 | 郑州大学第附属医院 | Vaginal Stump top pressing device |
| WO2019105519A1 (en) * | 2017-12-03 | 2019-06-06 | Abd Elaal Nasser Kamal | Tranexamic acid coated or eluted uterine balloon and co-attached cervical shutter in the management of postpartum haemorrhage |
| CN111388046A (en) * | 2020-03-27 | 2020-07-10 | 杭州市第一人民医院 | Accurate regulation formula uterus hemostasis sacculus device of pressure |
| CN113425222A (en) * | 2021-05-18 | 2021-09-24 | 陈扬仕 | Hysteroscope with one-way expansion air bag |
| CN113729863A (en) * | 2021-09-30 | 2021-12-03 | 四川大学华西医院 | Visual nasal cavity haemostat that pressure is adjustable |
| CN114569216A (en) * | 2022-05-07 | 2022-06-03 | 中南大学湘雅医院 | Puncture needle assembly for reducing tire |
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| CN201101556Y (en) * | 2007-08-22 | 2008-08-20 | 佐满珍 | Two-chamber sacculus tube for postpartum cavity hemostasis |
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| CN201234993Y (en) * | 2008-08-12 | 2009-05-13 | 天津怡美医疗器械有限公司 | Vascular compression hemostat convenient to fix |
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| CN204636458U (en) * | 2015-05-08 | 2015-09-16 | 韩素香 | A kind of multi-functional obstetrics and gynecology department hemostatic air bag device |
| CN105251099A (en) * | 2015-10-26 | 2016-01-20 | 南京市鼓楼医院 | Double-balloon intestine fistulization catheter for preventing anastomotic fistula after colorectal surgery |
| CN205612515U (en) * | 2016-04-14 | 2016-10-05 | 吴德印 | Be used for hemostatic device in uterus |
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| WO2002065930A1 (en) * | 2001-02-09 | 2002-08-29 | Tushar Navneetlal Shah | Apparatus for endometrial ablation |
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| CN105251099A (en) * | 2015-10-26 | 2016-01-20 | 南京市鼓楼医院 | Double-balloon intestine fistulization catheter for preventing anastomotic fistula after colorectal surgery |
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Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106821472A (en) * | 2017-03-08 | 2017-06-13 | 邓杜娟 | A kind of postpartum hemorrhage uterus hemostat |
| WO2019105519A1 (en) * | 2017-12-03 | 2019-06-06 | Abd Elaal Nasser Kamal | Tranexamic acid coated or eluted uterine balloon and co-attached cervical shutter in the management of postpartum haemorrhage |
| US11717325B2 (en) | 2017-12-03 | 2023-08-08 | Nasser Kamal Abd Elaal | Medicated uterine balloon with cervical barricade for management of postpartum hemorrhage |
| CN108714040A (en) * | 2018-05-24 | 2018-10-30 | 郑州大学第附属医院 | Vaginal Stump top pressing device |
| CN108714040B (en) * | 2018-05-24 | 2023-05-05 | 郑州大学第一附属医院 | Vaginal stump jacking device |
| CN111388046A (en) * | 2020-03-27 | 2020-07-10 | 杭州市第一人民医院 | Accurate regulation formula uterus hemostasis sacculus device of pressure |
| CN111388046B (en) * | 2020-03-27 | 2021-10-12 | 杭州市第一人民医院 | Accurate regulation formula uterus hemostasis sacculus device of pressure |
| CN113425222A (en) * | 2021-05-18 | 2021-09-24 | 陈扬仕 | Hysteroscope with one-way expansion air bag |
| CN113729863A (en) * | 2021-09-30 | 2021-12-03 | 四川大学华西医院 | Visual nasal cavity haemostat that pressure is adjustable |
| CN114569216A (en) * | 2022-05-07 | 2022-06-03 | 中南大学湘雅医院 | Puncture needle assembly for reducing tire |
| CN114569216B (en) * | 2022-05-07 | 2023-01-03 | 中南大学湘雅医院 | Puncture needle assembly for reducing tire |
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Application publication date: 20160629 |